Stress reactions following acute situations involving moral challenges among health care professionals

Abstract

the results largely supported the model concepts and their assumed relationships.

Validation of the Regret Coping Scale for Healthcare Professionals (RCS-HCP) in Portuguese for Brazil

“…This result underlines the theory that coping strategies can occur differently in each individual; each would present their own style (37), which might in uence the use of each one are personal characteristics, re ecting on the psychological balance about their experiences (12,38) or the rationale for preparing professional practice (39). The interaction of previous individual and contextual characteristics affects emotional reactions through stressful events and can present themselves in positive or negative ways in the short and long term (40).…”

“…The consistency for dimensions (domains) of the scale proved to be adequate as in the original German and Danish versions (7,12,13), being the lowest value in relation to the adaptive domain. Higher reliability coe cients in the scales of immediate and long-term emotional reaction support the conclusion that these aspects are more similar among professionals (40).…”

A qualitative study to investigate the psychosocial effects of operational deployments on Medical Emergency Response Team personnel

“…A shared subculture within the MERT environment has evolved; personnel live like a community during the deployed phase. In essence, they form 'a family' that becomes an essential component of their lives for that short period of time, thereby replicating the functional family support infrastructure left at home (Larsson et al, 2018;Ormsby et al, 2017). This close existence provides MERT practitioners the additional roles of educator (mentor) and counsellor, which underpins their development of camaraderie and team cohesion.…”

Understanding and mitigating moral injury in nurses

“…Moral injury can lead to compassion fatigue (Alharbi et al 2020), causing anger, apathy and a reduced attention span (Ledoux 2015), which can be detrimental to patient care and to the emotional well-being of the nurse (Dasan et al 2015, Pattison et al 2019, Hofmeyer and Taylor 2020. Moral injury can also lead to emotional distance and avoidance (Larsson et al 2018).…”

“…The term 'moral injury' was coined in the 1990s by Jonathan Shay to describe the moral suffering potentially experienced by military personnel when encountering ethically challenging decisions, such as leaving behind a wounded comrade or shooting a sniper who is using a civilian as a human shield (Shay 2014). Moral injury may be experienced when a person perpetrates, witnesses or fails to prevent an act that conflicts with their moral values and beliefs (Larsson et al 2018, Dean et al 2019. According to Shay (2014), moral injury is within an individual's control to some extent, but only if they receive expert leadership that is supportive and ethical.…”